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pece_annotation_1479070367

erin_tuttle

The film sustains its narrative by following the stories of several patients suffering from terminal cancers and the doctors treating them. While medical information concerning the type and severity of each case as well as the treatments considered was used to show the severity of each case, the film used emotion to deal with the difficult subject of mortality.

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erin_tuttle

Handicap International brings aid to places dealing with the aftermath of natural disasters. In this case the Rehabilitiation Technicians pogram was created in response to the 2010 earthquake in Haiti, during which thousands of Hatians needed orthopedic rehabilitation or prosthetics and there was a significant shortange of specialized medical professionals. The program was created to respond to the need for rehabilitation professionals to deal with the immediate aftermath of the earthquake and the continuing care of those permanently disabled.

pece_annotation_1480380436

erin_tuttle

The extensive bibliography suggests that the article was produced with extensive research into the history of humanitarian aid for sexual violence and the political aspects of humanitarianism. The article and bibliography show that this article was produced on existing data rather than through field research.

pece_annotation_1474748640

erin_tuttle

Several historical examples are used including the burning of the US Capital in 1814, the Hague St. explosion in 1850, and the Iroquois theater fire in 1903. The article uses examples that were in the public awareness at the time of the disaster in order to exemplify the many agents pressuring investigators to make a rapid and acceptable decision including the public, the government, and the businesses effected.

pece_annotation_1474993082

erin_tuttle

The article does not address emergency response, rather it dealt with public health and the government’s responsibility for the health of immigrants. A significant part of public health is the allocation and availability of resources, which differs based on country. The argument made is that the available medical resources in France should be used to assist those who do not have access in their countries. Unfortunately, there remains the responsibility to the citizens of France to provide access to any and all resources necessary for their health which necessitates denying treatment to some immigrants. The issues faced by the government and public health interests is how to balance those moral obligations, which is discussed in the article.

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erin_tuttle

Emergency response is addressed both in short term, through the interviews with survivors about their escape from the floodwaters and transport out of the city, as well as the lasting effects of the program and response efforts. The immediate response was not as effective as it could have been, in great part the collaborative efforts of communities rather than response groups. The delay in the arrival of response groups such as the National Guard and the Red Cross was in part due to a lack of communication, after the hurricane a significant amount of damage was done to the infrastructure of the city, creating difficulties for the rest of the country to know how serious the flooding was when the levees broke. This delayed the response and likely was responsible for the loss of many lives and continued traumatic experiences of many survivors. The following years showed an immediate lack of interest by the nation once the initial disaster was over. The article highlights this problem with emergency response, that rebuilding after a disaster can be even more challenging then the initial response and requires continued support for those effected.

pece_annotation_1476641935

erin_tuttle
  • “interest in how disasters could influence communities and result in large-scale effects, as well as interest in the mental and physical health consequences of different types of disasters, the influence of context on risk to mental health, and the distinct needs of different types of disaster victims.” (170)
  • “Consistent with life-course epidemiologic perspectives (37), characteristics or experiences of individuals before, during, and after a disaster may influence mental health outcomes and interact to produce psychopathology.” (174)
  • “The key functions of pre-disaster preparation efforts are to prevent or minimize exposure to potentially traumatic disaster-related events and reduce likelihood of additional post-disaster stressors, which are both associated with post-disaster mental disorders. Local governments and communities can reduce the likelihood and severity of disaster exposure” (176)

pece_annotation_1476645924

erin_tuttle

One specific challenge found by this organization is that not all veterans want their help in dealing with the stress experienced upon returning to civilian life. Although the support is available there is no way for the organization to force anyone to accept their help, which is a big concern for the organization.